Texas Health Arlington Memorial Hospital — price list
← Hospital overviewVerified from Texas Health Arlington Memorial Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
9 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ANES PROPOFOL 10 MG/ML INTRAVENOUS EMUL [300592] Inpatient | J2704 HCPCS | $54.72 | $32.84 | $18.92 – $51.49 | — | |
| BERINERT 500 UNIT (10 ML) INTRAVENOUS KIT [104197] Inpatient | J0597 HCPCS | $25,330 | $15,198 | $8,759 – $23,836 | — | |
| BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLN [38871] Inpatient | J0592 HCPCS | $62.11 | $37.27 | $21.48 – $58.45 | — | |
| BUTORPHANOL 1 MG/ML INJECTION SOLN [18131] Inpatient | J0595 HCPCS | $30.75 | $18.45 | $10.63 – $28.94 | — | |
| BUTORPHANOL 2 MG/ML INJECTION SOLN [11644] Inpatient | J0595 HCPCS | $37.62 | $22.58 | $13.01 – $35.40 | — | |
| CINRYZE 500 UNIT (5 ML) INTRAVENOUS SOLR [99962] Inpatient | J0598 HCPCS | $19,317 | $11,590 | $6,680 – $18,177 | — | |
| FENTANYL CITRATE-0.9%NACL (PF) 10 MCG/ML INTRAVENOUS DRIP [300595] Inpatient | J3010 HCPCS | $169 | $101 | $58.44 – $159 | — | |
| GANCICLOVIR 0.15 % OPHTHALMIC GEL [106059] Inpatient | J3490 HCPCS | $846 | $508 | $293 – $796 | — | |
| MORPHINE IN 0.9 % NACL 55 MG/55 ML INJECTION [300598] Inpatient | J2270 HCPCS | $19.65 | $11.79 | $6.79 – $18.49 | — |